Objective To improve the treatment of hypertensive basal ganglia hemorrhage choosing 3 different surgical methods.Methods 120 patients with hypertensive basal ganglia hemorrhage were retrospectively analyzed,including 28 cases treated by normal micro-craniotomy,62 cases by micro-craniotomy with small window of bone,and 30 cases by endoscopic surgery.Results During three months of follow-up,15 patients died and 105 patients survived.Of survival patients,2 patients presented plant survival status,64 patients moderately or severely disabled,while 39 patients recovered.The disability rate after endoscopic surgery was lower than the other two.Conclusions Selecting appropriate surgical methods could save most of patients with hypertensive basal ganglia hemorrhage and endoscopic surgery was conducive to reduce the disability rate.